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How to treat vulvar lichen sclerosus properly

Publication at Faculty of Medicine in Pilsen |
2013

Abstract

Lichen sclerosus (LS) is a disease of unknown ethiology, affecting mainly postmenopausal women. LS belongs to the most frequent non-neoplastic epithelial disorders of the vulva, it has a typical macroscopic pattern, and it is characterized with an intensive pruritus or dyspareunia.

Patients with LS have a risk of scarring of external genitalia and risk of developing squamous cell carcinoma of the vulva. Treatment of LS is usually long-term, repeated, and it is based on local potent corticosteroids.

Surgical treatment is rarely indicated in the management of LS. Follow-up at a specialized center is recommended.